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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BILLY GRANT SANDERS, PA

Active

BILLY GRANT SANDERS, PA is a Medical Physician Assistant healthcare provider located in CHOCTAW, Oklahoma. NPI 1164597860 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CHOCTAW, OK

Registration Details

NPI Number
1164597860
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2006 (19.776301646857 yrs)
Last Updated
Sep 21, 2025
License
1561 (OK)

Practice Information

Address
15679 NE 23RD ST
CHOCTAW, OK, 730208592
Browse OK providers · Browse ZIP 73020
Phone
4053909600
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CHOCTAW, OK

Name Credential NPI
MRS. KELLY DAWN MOAK PA-C 1598860520
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.